NPI | 1174537161 |
---|---|
Former Name | REBECCA L FREITAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 250290) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48453) |
207R00000X Internal Medicine (Licence: NC 2010-01475) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2019-03-13 |